WPR14CA086

NTSB accident investigation · Dehavilland Beaver DHC 2 MK.1 · Shaw Island, WA · January 4, 2014

Accident · Minor injuriesData collectionFinal report
Date
January 3, 2014, 16:00 local (Jan 4, 2014, 00:00 UTC)
Place
Shaw Island, WA
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N5484UDehavilland Beaver DHC 2 MK.1
Defining event
Takeoff: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed · report May 5, 2014
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
FAA-FSDO
FAA report
20140103000349A
Case key
88625

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

The pilot's failure to maintain directional control during takeoff in variable wind conditions, resulting in a collision with trees lining the left side of the runway.

Findings · 3

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotAll aircraft: 9,295 casesProbable cause
Performance/control parameters: directional controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedAll aircraft: 3,958 casesProbable cause
Wind: variable windEnvironmental issues › Conditions/weather/phenomena · Effect on operationAll aircraft: 113 cases

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The pilot was departing on a personal local flight from a narrow, tree-lined, private airstrip, located on a small island, in a single-engine, amphibious float-equipped airplane. After lifting off, as he approached the departure end of the runway, the airplane suddenly rolled left into the trees. The airplane came to rest at the base of the trees, standing on its nose and float tips. The pilot said there were no known preaccident mechanical anomalies with the airplane, and that he thought either the flap system or aileron system had malfunctioned causing the abrupt left roll. The airplane sustained substantial damage to both wings and the fuselage. The pilot reported that when he took off the wind was calm. A resident of the island, who was working outside, heard and responded to the accident. He said the wind at his residence was gusty and varying in direction. The departure end of the runway is over a bay, and he said there were whitecaps on the bay when he arrived at the accident site. Two islands, one to the north and one to the west of the accident island, have automated weather reporting stations. The island to the north was reporting wind at 12 knots gusting to 20 knots. The island to the west was reporting calm wind. On site documentation revealed there was a break in the tree-line along the right side of the runway, about the same area where the loss of control occurred. A commercial airplane operator reported that he suspended flight operations to neighboring islands the afternoon of the accident, due to wind/wind shear. A postaccident examination of the airframe did not reveal any mechanical malfunctions or failures that would have precluded normal operation.

Factual narrative

The pilot was departing on a personal local flight from a narrow, tree-lined, private airstrip, located on a small island, in a single-engine, amphibious float-equipped airplane. After lifting off, as he approached the departure end of the runway, the airplane suddenly rolled left into the trees. The airplane came to rest at the base of the trees, standing on its nose and float tips. The pilot said there were no known preaccident mechanical anomalies with the airplane, and that he thought either the flap system or aileron system had malfunctioned causing the abrupt left roll. The airplane sustained substantial damage to both wings and the fuselage. The pilot reported that when he took off the wind was calm. A resident of the island, who was working outside, heard and responded to the accident. He said the wind at his residence was gusty and varying in direction. The departure end of the runway is over a bay, and he said there were whitecaps on the bay when he arrived at the accident site. Two islands, one to the north and one to the west of the accident island, have automated weather reporting stations. The island to the north was reporting wind at 12 knots gusting to 20 knots. The island to the west was reporting calm wind. On site documentation revealed there was a break in the tree-line along the right side of the runway, about the same area where the loss of control occurred. A commercial airplane operator reported that he suspended flight operations to neighboring islands the afternoon of the accident, due to wind/wind shear. A postaccident examination of the airframe did not reveal any mechanical malfunctions or failures that would have precluded normal operation.

Aircraft

Registration
N5484U
Reported as
Dehavilland Beaver DHC 2 MK.1 (MARKI)
Category
Airplane
Serial number
1600
Built
1960
Airframe hours
7,795
Engine
P&W R-985 SERIES, 450 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · March 6, 2013
Departed
Shaw Island, WA
Destination
Shaw Island, WA
Airport
none · Private Shaw Island, runway none, 1,500 × 75 ft, grass/turf

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
82
Injuries
Minor
Certificates
Private, Commercial
Airplane ratings
Single-engine sea, Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
October 30, 2013
Seat
Left
Restraint
3-point
Flight hours
16,169 total · 4,400 in this make and model · 15,870 as pilot in command · 52 in the last 90 days · 11 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
3 statute miles
Lowest ceiling
None
Temperature
45 °F
Observed at
KFHR, 3 nm away

Docket · 4

The files NTSB released with the investigation on April 28, 2014, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.4 MB in all.

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.